Post op recovery of regional C-section

[planny]

Our c-sections go to PACU after OR to be recovered after regional anesthesia by PACU nurses. This causes a delay between mother and baby and daddy. For better patient satisfaction, we would like our c-sections to be recovered in OB, closer to family.Our OB nurses all have PALS and are very experienced with fresh epidurals/spinals. Where are your c-sections recovered? Do the OB nurses have ACLS? Any other special training?

[babyktchr, BSN, RN]

If you are going to recover your csections, then you have to adhere to the PACU standards of your facility and AORN Can't have two standards of care. You will have to ACLS and have the necessary equipment such as cardiac monitoring, crash cart etc etc.

We have our own OB recovery next to our OB OR.

[ejp80]

We recover our sections in our 5 bed ob rec room. We have our own ORs too. We don't require anything other than CPR and NRP for our nurses.

[klone, MSN, RN]

Yes, any surgical recoveries should have ACLS. Our OB units have designated ORs and everything is done by OB staff. The "PACU" is just the woman's LDR room.

[Fyreflie]

We recover our own sections in a PARR room on the unit. We use a normal BP/SPO2 machine that can hook up to leads if necessary (3 lead only), if there are any concerns in the OR they go to the main PARR. None of us have ACLS but obviously there is a crash cart on our unit and we have our own 24hr anesthetist and OBs.

[M/B-RN]

Our c-section patients recover in the labor and delivery unit. The l&d nurses are required to have ACLS and there is 24/7 in-house anesthesia.

[k.willow]

We recover our CSE sections in their post partum room. The RN is required to have ACLS. Any general anesthesia section goes to main PACU until she's recovered.

[RNnicu42]

I work in a large teaching hosital. We have our own OB OR's and our own recovery rooms. Unless there are problems with extubation, we recover our own general c-sections, and we definitely recover all of our own regional c/s. ACLS is not required for our RN's but almost all of us have it because we do our own recoveries. Are patients are hooked up to 5 lead s/p c/s and BP, SpO2 monitor. We also have our own 24 hour OB anes.

[Daiseymay]

We recover back in l&d room. There is a three lead cardiac monitor set up and tho I have personally previously been acls certified, I don't think any other nurse is. I'm new at this facility. Previously post op c-sections went to pacu. Is having acls regulated by aorn? Or just common practice?

[Alikatz]

We have our own ORs on our L&D unit, as well as a recovery area right across from them. Not all of the nurses on my unit have ACLS (only some of us do, including myself), but all required to have at least BLS and NRP. We have 24 hour OB and OB anesthesia. We also have a 3 lead cardiac monitor. We also recover our own general and regional sections. If there is a patient who would like to go to our facility to deliver though and they have known cardiac problems, the hospital will send them to our partnering hospital who is larger/takes even higher risk patients and equipped for that type of monitoring/complications.

[altomga, ADN, BSN, MSN, DNP, RN, APRN]

Luckily the facility I work at has their own OR and PACU in the labor and delivery unit. The hospital has baby friendly so the mother and baby separation is not done unless it is medically indicated. The care of the infant is done in the OR and finished in PACU. The Staff has NRP and BLS; not everyone has ACLS, but it is being pushed.

[ReneeRN0521]

In our facility we recover all of our own c/sections. BLS, NRP, and STABLE are required but ACLS is not. We use a regular blood pressure/SpO2 monitor. We have 24 hour OB anesthesia coverage and our own ORs.